Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,776.60 / $7,920.26	Facility		$2,747.00	$5,776.60	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,173.75 / $5,910.62 / $6,728.46	Professional		$4,173.75	$5,910.62	$6,728.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,568.38 / $5,252.97 / $7,644.53	Facility		$2,568.38	$5,252.97	$7,644.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,567.15 / $5,084.39 / $5,375.41	Facility		$3,567.15	$5,084.39	$5,375.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,568.38 / $5,736.67 / $7,599.18	Facility		$2,568.38	$5,736.67	$7,599.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $874.76 / $874.76 / $874.76	Facility	AS	$874.76	$874.76	$874.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,123.48 / $14,123.48 / $14,123.48	Facility		$14,123.48	$14,123.48	$14,123.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00